Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $78.87 / $99.05	Facility		$66.87	$78.87	$99.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $82.52 / $112.96	Professional		$65.59	$82.52	$112.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $79.53 / $88.37	Professional		$66.28	$79.53	$88.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.58 / $122.81 / $313.83	Facility		$53.58	$122.81	$313.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $68.70 / $105.22	Professional		$53.61	$68.70	$105.22
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $98.01 / $151.19	Professional		$73.56	$98.01	$151.19
Christus Facility/Professional Facility Modifier Low / Median / High Price $70.23 / $261.81 / $261.81	Facility		$70.23	$261.81	$261.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $91.00 / $122.01	Professional		$63.00	$91.00	$122.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $339.11 / $362.05 / $362.05	Facility		$339.11	$362.05	$362.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $492.36 / $555.30 / $680.85	Professional		$492.36	$555.30	$680.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $91.08 / $117.55	Facility		$71.70	$91.08	$117.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $95.23 / $149.06	Professional		$79.70	$95.23	$149.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $100.02 / $130.24	Professional		$84.10	$100.02	$130.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.64 / $90.72 / $117.55	Facility		$71.64	$90.72	$117.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $91.00 / $135.08	Professional		$64.00	$91.00	$135.08
United Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $94.36 / $157.59	Professional		$71.81	$94.36	$157.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $83.34 / $114.42	Professional		$70.68	$83.34	$114.42